Online application

Tutoring Service Enrolment Form

Please complete the form below to apply for tutoring with Midrand Reading Academy. We will contact you after receiving your information to discuss availability and the next steps.

Submitting this form does not automatically confirm a lesson time.

Learn more about School Tutoring.

Learner Details

Full Name (required)

Date of Birth (required)

Day

Month

Year

Grade or Year Level (required)

School Name (required)

Parent / Guardian Details

Parent or Guardian Full Name (required)

Relationship to Student (required)

Phone Number (required)

Email Address (required)

Residential Address (required)

Emergency Contact

Emergency Contact Name (required)

Relationship to Student (required)

Phone Number (required)

Additional Notes — Optional

Additional Notes (optional)

Include any additional information that may help Midrand Reading Academy understand the learner’s needs.

Consent and Agreement: Terms and Conditions

By submitting this form, I acknowledge and agree to Midrand Reading Academy’s terms and conditions, including the payment policy, attendance requirements and cancellation terms.

Type your full name to confirm this application. (required)

By typing your full name and submitting this form, you confirm that the information supplied is correct and that you accept the stated terms and conditions.

Fees and Contract

R250 per one-hour lesson
Monthly payment in advance
Fees are payable throughout the year
Midrand Reading Academy remains open during school holidays
Six-month minimum enrolment period
One calendar month’s written notice is required thereafter
Lessons missed by the student are payable and forfeited
Lessons cancelled by the tutor will be rescheduled

The submission date and time will be recorded automatically in South African time.

Tutoring Service Enrolment Form

Thank You

Privacy & POPIA

Fees and Contract